Provider Demographics
NPI:1588001929
Name:CAPITAL INDEX CORPORATION
Entity Type:Organization
Organization Name:CAPITAL INDEX CORPORATION
Other - Org Name:SARATOGA TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:KUPPER
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:518-584-1766
Mailing Address - Street 1:15 W HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1911
Mailing Address - Country:US
Mailing Address - Phone:518-584-1766
Mailing Address - Fax:518-584-1761
Practice Address - Street 1:15 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1911
Practice Address - Country:US
Practice Address - Phone:518-584-1766
Practice Address - Fax:518-584-1761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03320069Medicaid